Individual
MR. CASEY H PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
609 FARLOW AVE, RAPID CITY, SD 57701-1112
(605) 877-1708
Mailing address
PO BOX 2874, RAPID CITY, SD 57709-2874
(605) 646-3364
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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